Duke University Hospital beat out Wake Forest Baptist Medical Center and UNC Hospitals as the top performing hospital in the state and landed on the 2014-15 honor roll released by U.S. News and World Report Tuesday morning.

Duke dropped two spots on the honor roll, however. It was nationally ranked in 13 specialties, and pegged as No. 14 on the honor roll, down from No. 12 last year. In cardiology and heart surgery, Duke ranked as the No. 4 hospital in the nation.

UNC Hospitals was nationally ranked in two specialties and deemed high performing in nine others. No other hospital in the Raleigh-Durham metro was nationally ranked, though Duke Regional Hospital and Rex Healthcare were each high performing in 10 specialties, WakeMed Health & Hospitals was high performing in six specialties and Duke Raleigh Hospital was high performing in five specialties.

Nationally, the Mayo Clinic was the top rated hospital for the first time in the report’s 25-year history.